nishant samarpan Eng - Department of Health & Family Welfare

Report
Because
every child is
unique
D;ksfda gj f’k’kq
vf}rh; gaS
A journey of a thousand miles must
begin with a single step.
Lao-tzu
(604-531 BC)
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Samarpan
Samarpan is a suo motu attempt of reaching out
to community for early identification of
developmental delay or symptom of disability in
U5 children by their en masse screening and
subsequent treatment & rehabilitation .
Samarpan-Genesis
 Neuro Plasticity
 Critical Period of Development
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Samarpan- Why?
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
There is only one perfect child, and
every mother has one!
nqfu;k esa ,d gh loZJs"B f’k’kq gS] vkSj og gj ekW ds
ikl gS !
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Samarpan-Journey so far…
1.Conceptualization
2.Changing name of DDRC
to Samarpan
Samarpan-Journey so far…
D;ksfda gj f’k’kq
vf}rh; gaS
3.National Level workshop
in Hoshangabad for
developing blue print for
Samarpan
Participants:
NIMH Secunderabad
NIMHANS B’lore
NIVH Dehradun
NIOH Kolkata
National Trust
CRC
Leading Experts.
Because every child
is unique
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Samarpan - Journey so far…
4.Inputs from Dr Arun
Singh, formerly
IPGMER,Kolkotta.
5.Evolving a Convergence
model
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Samarpan - Journey so far…
6.Strengthening of Human
resources,Infrastructure
and Procurement of
equipment.
7.Development of training
literature and adaptation
of Samarpan screening
test (SST).
Because every child
is unique
8.Capacity building of
associated departments
and AWWs/ASHAs & IEC
D;ksfda gj f’k’kq
vf}rh; gaS
Samarpan - Journey so
far…
Samarpan - Journey so far…
• Application of SST on all
U5 children enrolled in
AWCs
• Blue print of logisticsman & machine
Samarpan- Journey so far…
9
.Comprehensive Interventions by adopting multi disciplinary
approach
SamarpanJourney so far…
10.Monitoring
& follow up by
using IT
www.samarpanhosha
ngabad.org
Samarpan services
1.Medical services:
common medical;
preventive health and
immunization.
2. General women &
Child services:
nutritional and related
to feeding of babies.
Samarpan services
3. Neurological assessment
4.Physiotherapy
5.Occupational Therapy
Samarpan services
6.Psychological
services: DSCII & DDST
7.Cognitive
development
,including play and
socialization.
Samarpan services
8.Speech &
language
9.Vision
10.Hearing
Samarpan-Outcomes
1. Total Children screened by AWW using SST – 105550
2. Delay in developmental Milestones identified – 2311
3. Children examined in EIC – 928
4. Children identified of delay in dev. milestones / defects 794
5. Treatment and services provided to 794 identified children
6.Counselling and home based intervention
7.Trained cadre for early detection of disability available in each and every
village;
8.Screening once in a quarter.
9.Institutionalization.
10.Scaling up by the Govt.
Samarpan- The road ahead
• Scaling up in process
• Involvement of Social Justice, Health & Family
welfare and Women & Child Development &
policy framework
• Regional center at Hoshangabad.
• Tertiary Links development.
• Strengthening of Home based intervention and
community based intervention .
• Skill Development & Vocational education.
Acknowledgements
Dr Amar Jyoti Paresha and her team of RAPID in
NIMH, Securenderabad.
Dr Arun Singh, Formerly & Ex HoD, Department
of Neo natalogy, IPGMR, Kolkotta
Sinaueser Associates Inc
On children
-Khalil Gibran
Your children are not your children.
They are the sons and daughters of life’s longing for itself.
They come through you but not from you,
And although they are with you yet they belong not to you.
You may give them your love but not your thoughts,
For they have their own thoughts.
You may house their bodies but not their souls,
For their souls dwell in the house of tomorrow,
Which you cannot visit, not even in your dreams.
You may strive to be like them,
But seek not to make them like you.
For life goes not backward nor tarries with yesterday.
THANKS
Because every child
is unique
Neuroplasticity
D;ksfda gj f’k’kq
vf}rh; gaS
 Neuroplasticity ~ neural- pertaining to
the nerves and/or brain and plastic,
moldable or changeable in structure,
refers to changes in neural pathways and
synapses which are due to changes in
behavior,
environment
and
neural
processes, as well as changes resulting
from bodily injury
GO BACK
synapse
• The synapse is where the nerve impulse
passes from one cell to the next
• The electrical signal (the action potential)
stops and a chemical signal takes over to
cross the gap between the cells
• The chemical messenger is called a
neurotransmitter(NT)
• The neurotransmitter crosses the gap by
diffusion.
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
critical period of development
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
1 a specific time during which the environment has its greatest impact on
an individual's development.
2 the time during gestation when critical organ systems are formed.
(Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier)
In general, a critical period is a limited time in which an event can occur,
usually to result in some kind of transformation. In developmental
psychology and developmental biology, a critical period is a phase in the life
span during which an organism has heightened sensitivity to exogenous
stimuli that are compulsory for the development of a particular skill. If the
organism does not receive the appropriate stimulus during this "critical
period", it may be difficult, ultimately less successful, or even impossible, to
develop some functions later in life
(Wikipedia online)
Critical period of development
Critical period of development
Critical period of development
How experience affects development
1. Neural activity regulates gene expression that
directs synthesis of cell adhesion molecules
2. Neuronal activity regulates the release of
neurotrophins (NGF) that are released from the
dendrites; after synaptic connectivity
3. Stimulates foundation NT and this promotes
subsequent development
Critical period of development
EQUIPMENT
A) Furniture :
Table for consultation and
examination Chairs for seating Cupboards for
storage Material for doll play Racks for material
Display boards
B. Medical equipment:
1)
2)
3)
4)
5)
6)
7)
8)
Stethoscope
Ophthalmoscope
Digital weighing scale
Measuring tape
Torch
Knee Hammer
X-ray Viewer
Height scale
EQUIPMENT
Therapy
For gross motor assessment and intervention
Sl. No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11
Items
Bolster (radius-6.5 inch, length-24.5inch) rexine cover
Small roll (radius-4.5 inch, length-14inch) rexine cover
Therapy mat (hard rubberised foam) length-74 inch,breadth37inch, girth-2 inch rexine cover
Push –pull toys
Therapy ball (45 cm)
Prone Wedge: board ( Small, medium )
Small and large ball
Modified chairs
Small wooden bench
Trampoline
Balance board/ wobble board
12
Strap weights, wobbling boards, sitting or corner chair for
small children
13
14
Toy like balls, rings, squeaky toys
Ball bath
2 pieces
2 pieces
6 pieces
2 pieces
1 piece
2 pieces
2 pieces
1 piece
1 piece
15.
16
17
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Activity table , slider , step stander, stacking rings
Supporting pillows , Rope bridge , C- cushion
Swing , Net hammock, Spin tub, Bolster swing and rope bridge
For fine motor assessment and intervention
Wooden blocks(1inch cube, 8 for each set)
White paper or drawing book, pencil, crayons , coloured
chalks, slate.
Peg board
Food pellets(puffed rice)
Small bottle with hole in lid or small mouth container
Piggy bank with coins
Lacing toys
Laminated picture book
Stacking rings and stacking blocks, connecting block set.
Plastic cup with handle
Noise makers (high frequency rattles, squeaky toys)
Rattles, Puja bells, drums.
Peg board
Miniature sets (Kitchen, Doctor set etc.)
Squeezy toys
Mirror
17.
18.
Musical toys/ cause and effect toys.
Plastic cup with handle and spoon
1.
2.
2 set
2 piece
2 piece
2 piece
2 piece
2 piece
2 piece
3 piece
3 piece
3 piece
1piece
1piece
2pieces
2pieces
3 piece
3 piece
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
Small chair and table
Wooden form board ( with three shapes round, square,
triangle)
Wooden blocks(1inch cube, 8 for each set)
Small car, doll.
Food pellets
Picture book
Crayons, White paper or drawing book, pencil.
Small and large balls
Red pom pom ( made up of wool ) and red ball
Objects for identification like comb, glasses, bangle, wrist watch
etc.
Stacking blocks, stacking rings of various sizes.
Lacing toys
Soap bubble making toys.
Picture cards (fruit, animal, common household objects).
White napkin
Set of red balls ( two different sizes)
Set of balls same size but three different colours ( red, yellow,
blue).
3 sets
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
3 piece
EQUIPMENT
Cognitive assessment and intervention
DDST : Denver
development
screening tool
DASII :
Development
al assessment
scale for
Indian Infant
x2
Rs 80,000 Denver Developmental Screening Test: The
Denver Developmental Screening Test (DDST) is a widely
used assessment for examining children 0-6 years of age
as to their developmental progress. The name "Denver"
reflects the fact that this screening test was created at the
University of Colorado Medical Centre in Denver.
One
One
Rs 15,000
Go Back
Development of Literature
Go Back
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Registration of New Child
Registration of New Child form
Vatsalya
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Data Entry for Staff Nurse
Data Entry for Physical
Development
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Data Entry for Audiology
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Data Entry for Vision
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Add Observatory Question
Add Sub Question Under main
Question
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Because every child
is unique
D;ksfda gj f’k’kq
vf}rh; gaS
Search Child for Answered Question
With Number of Visit go back
No. of visits
Click on the link to view
answered question(Next Screen)
Service
Provided
(till date)
Planned
S. No
Service
Target
(till date)
1
Physoitherapy
353
145
208
2
Special Education
257
125
132
3
Speech Therapy
162
104
58
4
Hearing Aid
42
8
34
Remark
Distribution of 34 hearing
aid planned in camp
organized in 28th Aug.
5
6
9
10
Bera
Calipers
Shoe Arch
PPAFO
50
5
78
47
12
1
52
3
38
4
26
44
11
Splint
11
0
11
12
13
Modified Shoes
Gaitors
22
21
2
2
20
19
Distribution planned in
Jul - Aug
Go Back
Logistics: Man &
Machine
•
Transportation:
Route chart;
AWW; Parents
;Child
• Food &
Beverages: Red
Cross & Rotary
International
Go Back
INTERDEPARTMENTAL AND
INSTITUITIONAL CONVERGENCE
DEPARTMENTS
• REVENUE
• SOCIAL JUSTICE
• HEALTH & FAMILY WELFARE
• WOMEN & CHILD
DEVELOPMENT
INSTITUTIONS
• NIPI-UNOPS
• REDCROSS
• ROTARY INTERNATIONAL
• OTHERS
• Go back

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